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Name of the Group Purpose Dates of Membership From To mm/dd/yyyy mm/dd/yyyy A. The Communist Party B. Are you a male who lived in the United States at any time between your 18th and 26th birthdays This does not include living in the United States as a lawful nonimmigrant. Ste. Flr. Number County State ZIP Code 4 - Province or Region foreign address only Dates of Residence Postal Code B. Preparer s Signature NOTE Do not complete Parts 16. 17. or 18. until the USCIS Officer instructs you to do...

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